HomeMy WebLinkAbout0152327 - Building (Remodel Porch) CITY OF OSHKOSH No 152327
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1051 W7TH AVE Owner RICHARD D GIER/F FERNANDEZ Create Date 09/13/2012__
Designer _ _ Contractor JJ GEFFERS INC
Inspector Nicole Krahn
Category 111 -Single Family Addition _ Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-2 Class of Const:
Size
-Unfinished/Basement Sq. Ft. Rooms - Height Ft. ❑ Projection]
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths - Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Remodel proch to enclose space -adding foundation(4'frostwalls)and enclosing according to attached plans and all applicable
of Work code requirements.
HVAC Contractor NAU HEATING AND COOLING LLC Plumbing Contractor
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $25,200.00 Plan Approval $0.00 Permit Fee Paid $166.00 Park Dedication $0.00
Issued By: �j —i ' Date 09/13/2012
Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 0606520000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read ar)Qbnderstand the afore mentioned information.
Signature/ •�
i f���--�''� Date
Agent/Owner
Address 3965 WESTERN DR OSHKOSH WI 54901 - 9707 Telephone Number 231-2637
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Oshkosh P 5 Box 1130
City of Oshkosh,WI 54903-1130
` Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project _ 2 h
Address /0 S7 GC
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Applicant Owner Contractor Tenant Other(describe)
Owner/
Tenant Name /1x ,-1 �, e r Phone "
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Address /G..S7 Email
Contractor
Company Name 3- j Uc' /,"e,-; <„,C/ Phone "t..20 - 3 2y- //S-J
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Contact J a so,, (,c'_ 7 pi j
Email J ccscI 6>o4., A. 61e, A:,,,/04P: C Ori,
Address 2,1 )6- 6-77,-) ,07-,e c- t//a 2 ct
State Credential #'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
Address
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Permit Type ( esidential Single Family residential Duplex Commercial Multifamily Industrial
Catagory New Additi Alteration
Project - /r'// ih X'w v r
Description ) J /F` Gfh c/o- .,1,, cl Ste,j In c' f e� f
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ .2 sJ .200 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I ackowledAe and agree to these terms.
Name: ai So, e Q (Please print) Date: C?
Signature: t ,_ .
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